Date:
Name :
Phone:
Address:
City:
State:
Zip Code:
Is Mailing Address different form above:
Practical Property Description:
Legal Description:
Attach additional Information:
Acreage or Square Feet of Parcel:
Existing Zoning:
Surrounding Zoning
North:
West:
South:
East:
Requested revised zoning or zone text language (identify specific section of the regulations with the language to be changed):
Present Use of Subject Property:
Uses Surrounding Subject Parcel
Are Property Owners Different form Applicant?
Owner 1
Owner 2
Owner 3
Are there any adjoining and abutting property owners:
Owner 4
Owner 5
Owner 6
Owner 7
Owner 8
Owner 9
Owner 10
Text Amendment or Zone District Boundary Change (use additional sheets as necessary &, include reference(s) to applicable section(s) of the municipal code):
Is this :
Comments:
Justification for district change. Please clearly state the basis upon which the proposed zoning change is made including a justification for the change. Examples for justification may include the following: Rezoning of subject property is in compliance with the recommendations of the comprehensive plan or the property was improperly zoned originally or there has been a substantial change in condition and use on the surrounding properties to justify a change of zoning.
Is this:
Comments
Designation of the Property in the DeBeque Comprehensive Plan. Identify the applicable classifications or descriptions of the property and recommendations for use, density or other requirements specified in the DeBeque Comprehensive Plan:
Terms or conditions of approval applicant may deem necessary or applicable should zone change be approved (may attach additional pages).
Applicant Signature:
Applicant Signature (if applicable):
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